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PRE 2010 DOCSInn consideration of `the pa 'Iment of a fee of $. , .. permit is Hereby gr�inted td .: : . ... .. 4 * �. to construct the building or addition as described above. This, permit is granted upon the express conditio that the '' Terson to whom it is granted and his agents, employees and, workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all, respects to. the ordinances of Fridley, Minnesota egarding 11l cation; construction, alteration, maintenance, repair, and moving of buildings with- in the village limits d this p'�rmit May be. revoked at any time upon violation off Q_ny of the provisions of said ordinances. 40 �.� �' �;. •�; g inspector This permit oes not over teons ruction, Installation or alteration for Wiring, plumbing, gas heating, sewer or water. Ise sure to see' Building Inspector for separate permits f se items, C° �I j EUMDING PERMIT i; 2480 -Village of Fridley, Minn. Date...... . < . . .... ...... Builder Owner .. Address I `d .�" Address .... ...:. .. ......... ......... LOCATION OF BUILD NO No. .. . ..;.. Streek ? ...... ... Part of Lot Lot ........ 4:. Block . �. ... .. 40. Addition or Sub-Division ........ ................. . ........ . . I Corner Lot . Ins de Lot ...... ki . Setback Sideyard .......................... To Used as: ... .. Frontl' DESCRIPTION OF BUILDING l Depth :. Height Sq. Ft. Gu. k'i. .� ........ ' .................... Type of Con Front, n ........ Depth ........ Height ......... Sq Ft......... Cu. Ft........ . Est Cost .. ... + ......... To be Completed ... !j s If �- ,�,+i � In consideratic s i of the iePuance to me of a permit to eonsiruct the building described above, i agree to do the proposed work in accordance with the description above set forth and in compliance with. all provisions of ordinances of the N age of Fridley.',? G F � F consideration the a payment dP of a fee of .. , permit is hereby grari�ted to .. .. .......... . $' . to e+onstruet the building or addition as described above. This pernut is granted upon the express conditii'n done in, around an, that the 'upon sail person to whom it is granted and his, agents, employees and workmen, in all work building, or any part thereof, shallconform in al� respects to the ordinances of Fridley, Ntinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limi and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ding inspector 4 NOTICE: This permit does :'not aver the oonstruction, installation or alteration for (wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. SusiECT P City of Fridley 3226 1 AT THE TOP OF THE TWINS BUILD 1I T r `©� . RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 1 612-571-3450 910-F15 10/18/01 JOB ADDRESS 6560 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Moore Lake Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Delores Shimanski 6560 Stinson Blvd NE 571-8536 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,680 $1.34 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $2.68 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 PLAN CHECK FEE T AL FEE $87.27 SIG TORE F CONTRACTOR OR A T OF4LZED AGE IDATEI H PR LY VALIDA .ED THIS IS YOUR PERMIT F Et G IN 'PgA1E 5 GNA RE 0F OW NEA SIF OWNE 40ERI IDAiEI NEW [) Effective 1/1/2001 ADDN [ j CITY OF FRIDLEY ,(763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6560 4)lj,-1 ILI_ Legal Description: oo< e a ke y0at k isT Owner Name & Address: Oe bre-s iI"045A-11 Tel. # 5-7% 8S36 Contractor: f)04 e. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT FUN 10 Ft. Hgt/GroundS . Ft. C��r � Construction Type: kcal - 011 ,Qk-A "/0 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x _ DATE: —Z ®% APPLICANT: ea t Tel. CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $—fo_ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,00 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) -Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been -constructed will be required before proceeding with the framing. New Houses Only